Individual
MARISSA MANGUAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1330 PARKWAY AVE STE 7, EWING, NJ 08628-3006
(609) 403-6359
Mailing address
365 SILVIA ST, EWING, NJ 08628-3231
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37PC00655100
NJ
Other
Enumeration date
11/12/2019
Last updated
11/12/2019
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